Provider Demographics
NPI:1386208452
Name:VELANI HOODANI, FARANAZ MAJID (NP)
Entity Type:Individual
Prefix:MRS
First Name:FARANAZ
Middle Name:MAJID
Last Name:VELANI HOODANI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:FARAH
Other - Middle Name:MAJID
Other - Last Name:VELANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2612 CHILLINGHAM CT
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-2906
Mailing Address - Country:US
Mailing Address - Phone:512-350-8664
Mailing Address - Fax:
Practice Address - Street 1:700 SCOTT AND WHITE DR
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-6441
Practice Address - Country:US
Practice Address - Phone:979-207-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX868015163WG0000X
TXF02191234363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice